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New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

1 September 2020 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...

ENT in this issue...Anaesthetics and ENT

1 November 2019 |
Nick Crombie, BMedSci BMBS FRCA FIMC RCSEd RCPathME, Associate Medical Director (Governance); Consultant Trauma Anaesthetist; Honorary Researcher, National Institute for Health Research SRMRC: Clinical Lead for Resuscitation Services, QEHB, UK. E: Nicholas.Crombie@uhb.nhs.uk Plastic surgeons think we do endless crosswords. Orthopaedic...

Multidisciplinary airway simulation workshops: ‘preparing your team for the difficult airway’

1 September 2019 |
Can human factor issues be better addressed within a multidisciplinary learning environment? Would this improve team working and patient outcomes? Are these important training considerations? Mona Thornton discusses the experience of a multidisciplinary simulation airway workshop in the unit she...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

1 November 2019 | | ENTA-ENT
Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

The use of THRIVE in laryngology and phonosurgery

1 May 2018 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice
The team in Lewisham has been using THRIVE for our phonosurgical cases for about a year. Here, we discuss the pros, cons and potential pitfalls of setting up and using THRIVE as ventilation during anaesthesia rather than using an ML...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

1 May 2015 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice, ENTA-Rhinology / Sinus
Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Anaesthesia for free-flap surgery

1 November 2019 | | ENTA-ENT
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENTA-ENT
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENTA-ENT, ENTA-Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

In conversation with John Carlisle: the silent hero shaping medical publication integrity

4 March 2024 | | ENTA-ENT
Have you ever been curious as to what your anaesthetist is getting up to on their laptop during long cases? Me neither, but I always generally assumed they were trading Bitcoin, solving the Riemann hypothesis and buffing their Tinder profile....

In conversation with John Carlisle: the silent hero shaping medical publication integrity

4 March 2024 | | ENTA-ENT
Have you ever been curious as to what your anaesthetist is getting up to on their laptop during long cases? Me neither, but I always generally assumed they were trading Bitcoin, solving the Riemann hypothesis and buffing their Tinder profile....

Sugammadex

1 November 2019 | | ENTA-ENT
Scott Russell is an anaesthetist with an almost unrivalled experience of complex head and neck surgery, and has seen all manner of new ideas come and go. However, in this article he describes a new pharmaceutical agent that is already...